Every finding on record at Innovative Nursing Inc

A Recertification Survey was conducted from 5/12/21- 5/13/21. Innovative Nursing Inc. was not in compliance with 42 CFR 484 Subpart A-C, requirements for Home Health Agencies.

State toll free HH telephone hotline CFR(s): 484.50(c)(9) Be advised of the state toll free home health telephone hot line, its contact information, its hours of operation, and that its purpose is to receive complaints or questions about local HHAs. This ELEMENT is not met as evidenced by: Based on interview and review of the Home Health Agency patient admission information, the HHA failed to show the patient was furnished with the required and correct designated State Complaint line information. Findings: Review of the Home Health Agency Patient admission information folder regarding the State toll free home health telephone hot line, revealed the following information was documented: "To report a complaint regarding the services you receive, please call toll-free: 1-800-(number provided) (24 hours a day/7 days a week). A telephone call to the listed number resulted in no identification of the number called, and a statement of "If you are interested in services, press number **." Below this line was the name of the Home Health Agency with numbers, and also documentation of a State Agency with a telephone number. The documented information did not included the required State agency toll free home health telephone hot line, its contact information, its hours of operation, or that it's purpose is to receive complaints or questions about local HHA's. The Home Health Agency Director of nurses(DON) and Office manager were interviewed on 5/12/21 at 2:30 PM, and a review of the Home Health Agency patient admission information was discussed. The DON said the listed number for complaints in the patient admission information was the number of the Home Health Agency and not the designated State Agency and the correct hours of operation were not included.

Discharge and transfer summaries CFR(s): 484.110(a)(6)(i-iii) (i) A completed discharge summary that is sent to the primary care practitioner or other health care professional who will be responsible for providing care and services to the patient after discharge from the HHA (if any) within 5 business days of the patient's discharge; or (ii) A completed transfer summary that is sent within 2 business days of a planned transfer, if the patient's care will be immediately continued in a health care facility; or (iii) A completed transfer summary that is sent within 2 business days of becoming aware of an unplanned transfer, if the patient is still receiving care in a health care facility at the time when the HHA becomes aware of the transfer. This ELEMENT is not met as evidenced by: Based on record review, interview and review of the Home Health Agency Policies, the Home Health Agency failed to send a copy of the patient's discharge summary to the primary care practitioner or other health care professionals who was responsible for providing care and services to the patient after discharge from the Home Health Agency within 5 business days of the patient's discharge for 4 (10, 11, 12, 13) of 4 discharged patients reviewed. Findings: Review of the documented discharge summaries in the Home Health Agency electronic record for patient # 10, 11, 12, and 13, revealed an area at the bottom of each discharge summary that read: "Physician notified of discharge summary availability." Patient # 10 had two discharge summary forms, one from nursing and one from therapy. The nursing discharge form did not check the physician notified of discharge summary availability. The therapist checked the box that the physician was notified of discharge summary availability. Patient # 11 had two discharge summary forms, one from nursing and one from therapy. The nursing discharge form did not check the physician notified of discharge summary availability. The therapist checked the box that the physician was notified of discharge summary availability. Patient # 12 had three discharge summary forms. One from nursing, and two from therapy being Occupational and Physical therapy. The nursing and physical therapy discharge form did not check the physician notified of discharge summary availability. The Occupational therapy discharge summary checked the box that the physician was notified of discharge summary availability. Patient # 13 had two discharge summary forms, one from nursing and one from physical therapy. The nursing discharge form did not check the physician notified of discharge summary availability. The physical therapist checked the box that the physician was notified of discharge summary availability. The Director of Nurses was interviewed on 5/12/21 at 3:50 PM. She said discharge summaries are sent to the physician only if they are requested by them. She stated the physician is notified of the discharge, however the summaries are not routinely sent unless requested. Discharge summaries for patient #s 10-13 were not sent to the physician upon the Home Health Agency discharge. Review of the Home Health Agency policy regarding discharge protocols from the Home Health Agency documented: "A discharge summary to be completed, and sent to physician if requested, shall contain the patient's status on admission and discharge and services provided, date of discharge, extent to which goals were met and plan for follow-up and/or referral to community resources."